Benchmark - Capstone Change Project Implementation Plan The purpose of this assignment will be to begin developing an implementation plan for your project. In 750-1,000-words, include the following in your plan: In 1-2 sentences, summarize the problem or issue being addressed by your proposed change project. Based on the assessment of your practicum site and the literature evaluation you completed in Topic 4, propose how you will address the identified problem or issue (this will be the solution). Solutions should include sociocultural and linguistic considerations and affect nursing practice. Discuss steps for how the nursing practice intervention will be implemented in the capstone project change proposal proposed above. In your discussion include the impact it will have on nursing practice. Write a list of three to five objectives for your proposed intervention. Remember, objectives serve as the goals of your project. Based on your objectives, develop a list of three to five measurable outcomes for your proposed intervention. Remember, outcomes serve as the tangible, measurable results of implementing your project and should align with your objectives. Provide a rationale for how your proposed project, objectives, and outcomes demonstrate respect for autonomy (self-determination) for individuals and diverse populations.

Question

Dan Palmer · Accepted Answer

Benchmark - Capstone Change Project Implementation Plan Having an elaborate implementation plan is crucial for the successful implementation of an evidence-based change initiative. The purpose of this paper is to describe the change implementation plan that will be used for a quality improvement capstone project. The plan will include the objectives and outcome for the capstone initiative and the implementation methodology. Summary of Problem The current problem within the practicum site is poor handover communication. Poor handover communication leads to poor patient outcomes, and low patient satisfaction, and affects interprofessional collaboration, thus necessitating the implementation of an evidence-based change initiative (Bukoh et al., 2020). Solution The identified change issue that the capstone aims to address is poor handover communication. To deal with this, the evidence-based proposal is to implement a bedside handover approach as the preferred shift reporting system. Studies have shown bed-side shift reporting as a suitable handover communication approach that helps enhance patient outcomes, reduces documentation errors, and increases patient satisfaction (Forde et al., 2020). The inclusion of patients as part of the handover process makes it a suitable form of shift reporting that captures the spirit of patient-centered care, including their cultural considerations, ensuring that patients receive high-quality and satisfactory care. Implementation of Intervention To ensure the evidence-based capstone change project is successfully implemented a project team will first need to be formed. The mandate of the project team will be to first come up with an implementation plan for the change initiative. Ideally, the project team will use a change model for example Lippitt's change model to ensure that the implementation is successful with little resistance from the stakeholders (Adelman-Mullally et al., 2023). The implementation team will also be responsible for engaging with stakeholders, ensuring that the stakeholders have bought the change ideal to reduce resistance to change. After coming up with the implementation plan, the team will then come up with a mode of evaluation, to assess whether the capstone change project has met its objectives or not. Continuous reviews held every week will help to ensure that the milestones agreed upon by the team towards implementing the capstone are met. The implementation of the capstone will create an impact on nursing practice by highlighting the importance of handover communication in care delivery. Additionally, the change initiative will create an impact by emphasizing the need to include patients and their family members as part of the handover communication process. Objectives For the capstone project, the first objective would be to increase patient satisfaction. Studies have shown that engaging in bedside shift reporting has a positive impact on patient engagement and by extension satisfaction (Forde et al., 2020), making it an ideal choice as the first objective. The second objective is to reduce medical errors related to poor documentation. Documentation errors often occur during handover, where patient information is not captured. Often these issues end up causing clinical errors affecting patient outcomes (Bukoh et al., 2020). The third objective is to improve the level of interprofessional collaboration, by involving other care providers and the patient during the handover reporting process. Measurable Outcomes From the three objectives, the measurable outcomes that will help to evaluate the capstone project include the following: The first outcome is increasing patient satisfaction by at least 10% within the evidence-based change implementation period. The second outcome is reducing medical errors related to poor documentation by 15% during the implementation period. The final outcome is improving interprofessional engagement by 5% at the end of the implementation period. These outcomes are going to be measured after the intervention period using surveys, where the data collected will compared to the results before implementation of the new handover method. Rationale One of the ethical aspects that should be adhered to when implementing evidence-based change projects is respecting patient autonomy. The objectives and outcomes identified incorporate patients as part of the handover process. The current approach that the facility uses gives little emphasis on the patient's views during the handover process. However, with bedside shift reporting, patients and their family members are considered part of the collaborative team during the handover communication process. Therefore, the views, preferences, including cultural preferences of the patients are well captured and integrated as part of their care from the information collected within the handover process. Conclusion This paper focused on describing the change implementation plan that will be used for the capstone project. The change implementation plan will have three objectives and similarly, three outcomes, focused on improving patient satisfaction, reducing errors, and enhancing collaboration within the clinical setting. The effectively implement the capstone a team will be established whose mandate will include planning the implementation process, implementing, and evaluating whether the outcomes for the capstone were met. References Adelman-Mullally, T., Nielsen, S., & Chung, S. Y. (2023). Planned change in modern hierarchical organizations: A three-step model. Journal of Professional Nursing, 46, 1-6. https://doi.org/10.1016/j.profnurs.2023.02.002 Bukoh, M. X., & Siah, C. J. R. (2020). A systematic review on the structured handover interventions between nurses in improving patient safety outcomes. Journal of Nursing Management, 28(3), 744-755. https://doi.org/10.1111/jonm.12936 Forde, M. F., Coffey, A., & Hegarty, J. (2020). Bedside handover at the change of nursing shift: A mixed‐methods study. Journal of Clinical Nursing, 29(19-20), 3731-3742. https://doi.org/10.1111/jocn.15403

Benchmark – Capstone Change Project Implementation Plan